Catàleg general VIH/sida
Acceptability of HIV and syphilis domiciliary testing among transgender women in Buenos Aires, Argentina
Resum
Background: HIV and syphilis, although easily diagnosed by simple laboratory low-cost methods, remain important health problems for transgender women (TGW), who face numerous barriers to access to the health system. This study aimed at assessing the acceptability of a domiciliary-provider-initiated HIV and syphilis testing strategy. Methods: From 5/2018 to 12/2018, a multidisciplinary team tested TGWs in rooming-houses and other venues. Inclusion criteria were: self-identified as TGW; =14 years old; previous HIV-negative >3 months or unknown status; non-history of syphilis or previous episode with >6 months after treatment. Acceptability survey included 5 items with a 5 point-Likert scale, a satisfaction question, and comments. SD BIOLINE HIV/Syphilis Duo rapid tests (provided by Abbott) was used (detects antibodies to HIV-1 including subtype-O, HIV-2 and Treponema pallidum). HIV+ was confirmed by VL and positive treponemal tests were complemented with quantitative VDRL to identify active syphilis or past infection. All confirmed cases were referred for treatment initiation and follow-up. Results: A total of 68 TGW were tested with a median age of 26 (IQR: 25.7-29.8). Most of them were sex workers (77.9%). HIV prevalence was 4.4% and 50% had syphilis antibodies (26.5% indicating incident syphilis and 23.5% showing adequate response to previous treatment). Almost all (98.5%) considered the domiciliary rapid test as a very good/good strategy. Participants strongly agree that they: prefer simultaneous HIV and syphilis diagnosis test (60.3%), prefer to receive results the same day (85.3%), think this rapid test is safe and reliable (77.9%) and would be willing to repeat it in the future (95.6%). All participants strongly agreed that they would recommend this test to another TGW. The main comment was to include other STIs in rapid test (i.e., HBV, HCV, etc.). Conclusions: TGW have a high prevalence of syphilis and HIV. Research activities constitute a fundamental input to inform evidence-based policies on the feasibility and acceptability of new strategies for the diagnosis of STIs that contributes to the development of appropriate and effective interventions to promote access to health services. Our pilot study showed that domiciliary rapid testing of STIs is a feasible, acceptable and a successful approach for this hard-to reach population.- Tema:
Autoria:
ZALAZAR, Virginia; FROLA, Claudia E.; GUN, Ana; CARDOZO, Nadrir F.; DUARTE, Mariana; FABIÁN, Solange; RADUSKY, Pablo D.; ARISTEGUI, Inés; CAHN, Pedro; SUED, Omar
Autoria institucional: Fundación Huésped (Argentina)
Autoria institucional: Fundación Huésped (Argentina)
Fitxa bibliogràfica
- Any de publicació:
- 2019
- Descripció física:
- [14] p.
- Format:
- Fulletó
- Tipus de document:
- Col·loquis i ponències
- Notes:
- Trabajo presentado en la 10 IAS Conference on HIV Science (IAS 2019) celebrada en México DF del 21 al 24 de julio de 2019.